Individual
DR. KIM CARDILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
740 FRONT ST STE 320, SANTA CRUZ, CA 95060-4536
(831) 710-1455
(888) 617-7565
Mailing address
740 FRONT ST STE 320, SANTA CRUZ, CA 95060-4536
(831) 710-1455
(888) 617-7565
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY29537
CA
103T00000X
Psychologist
PSY29537
CA
Other
Enumeration date
01/08/2018
Last updated
01/08/2018
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